Individual provider Active NPI

Christopher Nguyen, DDS

  • Dentist
  • Rowlett, TX
National Provider Identifier
1922529726
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32914 Issued in TX
Practice address
4410 Lakeview Pkwy Ste a
Rowlett, TX 75088-4047
Phone
(469) 395-0452
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32914 TX Primary

Addresses

Primary practice location

4410 Lakeview Pkwy Ste a
Rowlett, TX 75088-4047

Mailing address

4410 Lakeview Pkwy Ste a
Rowlett, TX 75088-4047

Other practice location 1

10901 Garland Rd
Dallas, TX 75218-2613
Phone (214) 613-5001

Other practice location 2

10901 Garland Rd
Dallas, TX 75218-2613
Phone (214) 613-5001

Other identifiers 1

IdentifierTypeStateIssuer
1922529726MedicaidTX

Other names 1

  • Chris Nguyen Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.forevergreendental.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32914TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Green Dental PLLC CurrentSince Nov 9, 2021 Accepting new patients

Locations

4410 Lakeview Pkwy
Ste A
Rowlett, TX 75088
Phone (469) 395-0452

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1922529726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 LAKEVIEW PKWY STE A",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 LAKEVIEW PKWY STE A",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884047",
            "telephone_number": "469-395-0452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10901 Garland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752182613",
            "country_code": "US",
            "telephone_number": "214-613-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10901 Garland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752182613",
            "country_code": "US",
            "telephone_number": "214-613-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922529726",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.forevergreendental.net",
            "affiliation": "N",
            "address_1": "4410 Lakeview Pkwy Ste A",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750884047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "NGUYEN",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.